How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | None | $39.81 | $39.81 | $40.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $281.84 | Facility | None | $275.42 | $275.42 | $281.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $51.29 Median $85.11 Typical High $117.49 | Professional | None | $51.29 | $85.11 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $131.83 Typical High $316.23 | Facility | None | $97.72 | $131.83 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $64.57 | Professional | None | $23.44 | $28.18 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $47.86 Typical High $147.91 | Facility | None | $39.81 | $47.86 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $72.44 | Professional | None | $51.29 | $51.29 | $72.44 |
United Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $61.66 | Facility | None | $46.77 | $46.77 | $61.66 |
United Setting Professional Modifier None Typical Low $21.38 Median $30.90 Typical High $51.29 | Professional | None | $21.38 | $30.90 | $51.29 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $19.95 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.32 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.32 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $25.70 Median $25.70 Typical High $40.74 | Professional | 51 · Multiple procedures | $25.70 | $25.70 | $40.74 |
Where South Carolina sits
The same service costs 6.0 times more in California than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 27th of 51
$53.70
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.